Friday 11 May 2012

Preputioplasty and Labiaplasty – Reconstructive Surgery for the Genitals

Men often suffer from a condition called phimosis where it is difficult for the foreskin to retract fully from the penis. This is not only a cosmetic problem but also functional, as it causes difficulty while urinating or intercourse. Similarly, women may face problems of damaged vagina because of childbirth or an enlarged labia causing discomfort. For these conditions, a person consults an urologist who usually recommends preutioplasty and labiaplasty as a correctional surgery. 

Phimosis in men is said to occur during developing years that gets resolved on its own. However, at times, trauma or diseases like developing tissues of white ring on foreskin stops the skin to retract. Though it is not clear what causes it, some believe that is brought on by bacterial or viral infection, or auto-immune disease. In another condition, there is redness and rashes on penis and foreskin along with pain and discharge.


Earlier, phimosis was treated using either steroid creams or circumcision. As circumcision used to cause much pain after the surgery, people started to look for minimal invasive procedure. That’s when they came across preputioplasty, which preserved the foreskin by making small Y-shaped incisions to widen the ring at the end of the foreskin. The whole procedure can be completed in an hour and bring down the recovery time to few days to few weeks.

On the other hand, women wanting to restore their vagina would like to undergo labiaplasty. A labiaplasty tries to improve the appearance of vagina by reducing the labia. They may however be asked to make a choice between labia minora reduction and labia majora reduction. Labia minora reduction reduces the large labia minora that are visible while wearing swimsuits, leotards or any revealing clothes. Moreover, it may cause pain and discomfort during sex, wetness and irritation and discomfort during exercise. Labia majora though common, gets aggravated by estrogen stimulation, childbirth and extreme weight loss. It becomes noticeable while wearing tight-fitting clothes and may get embarrassing. Both labia minora reduction and labia majora reduction are often performed in conjunction with each other for better results.

Labiaplasty is performed sedatives and anesthesia and may take about an hour. After making an outline, excess tissue is removed and sutured allowing the area to heal properly. The scars formed are made to hide between the crease of labia minora and labia majora. The recovery time is of few weeks and requires the patient to stay away from strenuous activity, keep the area clean and take the medicines as prescribed.